MEDICARE: MR. ROBERT REICHHARDT MA CCC-SLP, BCS-F

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1083186001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT REICHHARDT MA CCC-SLP, BCS-F

Provider Business Mailing Address
First Line	:	930 TIMBER TRL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1651
Country	:	US
Telephone Number	:	513-608-8508
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 TIMBER TRL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1651
Country	:	US
Telephone Number	:	513-608-8508
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2019
Last Update Date	:	11/12/2022

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Directions to “ MR. ROBERT REICHHARDT MA CCC-SLP, BCS-F” Practice Location

Language	Start Address	Practice Location

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